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All About Breast Cancer

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What is the breast?  


Each breast has 6-9 overlapping sections called lobes. Each lobe comprises many smaller lobules, which ends in dozens of tiny bulbs that can produce milk. Thin tubes, called ducts, link all the lobes, lobules, and bulbs. These ducts lead to the nipple in the centre of a dark area of skin called the areola. Fat fills the spaces around the lobules and ducts. There are no muscles in the breast, but muscles lie under each breast and cover the ribs.

 

 

Each breast contains blood vessels and vessels that carry colourless fluid called lymph. The lymph vessels lead to small bean-shaped structures called lymph nodes. Clusters of lymph nodes are found in the axilla (under the arm), above the collarbone and in the chest. Lymph nodes are also found in many other parts of the body.

 

 

 

What is breast cancer?


Breast cancer means that some cells in the breast are growing abnormally. Cancer cells differ from normal cells in several ways. They divide and grow quickly and invade surrounding tissues.

 

What are the symptoms of breast cancer?


Early breast cancer usually does not cause pain. When breast cancer first develops, there may be no symptoms at all. As the cancer grows, it may give rise to:

  1. a lump or thickening in the breast or in the underarm area
  2. a change in the size or shape of the breast
  3. discharge or bleeding from the nipple
  4. a change in the colour or feel of the skin of the breast, areola or nipple (dimpled, puckered or scaly)
  5. recent retraction (pulling in) of the nipple

 

Consult a doctor if any of these changes are noted.

 

How is breast cancer diagnosed?


Cancer of the breast can be diagnosed by:

Medical history

A medical history helps your doctor to assess your risk of cancer. Your doctor will ask you for your family history of breast cancer, your menstrual history and the physical characteristics of your breast lump.

Palpation of a breast lump

Your doctor will perform a physical examination of your breast to detect the location, size and general condition of your breast lump and lymph nodes.

Mammogram

Your doctor may request for you to go for a mammogram. This is an X-ray of the breast and is the most helpful technique for detecting breast cancer that are too small to be felt. A plate-like device is used to flatten your breast to provide a clear image of the breast. The mammogram can give the doctor important information about a breast lump. If an area on the mammogram looks suspicious or is not clear, additional X-rays may be needed.

Ultrasound

An ultrasound of the breast uses high-frequency sound waves to show whether a breast lump is solid or filled with fluid. This examination may be done together with mammography.

Needle biopsy

Your doctor uses a fine needle to remove some cells from a breast lump and examines them under a microscope to check for the presence of cancer cells. Sometimes a larger needle may be used to remove a core tissue from a solid lump.

 


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